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Part of the Relapse Prevention Workbook for Chemically Dependent Criminal Offenders

Scoring Sheet for Alcohol and Drug Addiction Test

Early Stage Addiction

Count up the number of yes answers you checked in questions 1–12 and write the number below.

Number of checks for questions 1–12 _____

If you have one or more checks in this section, there is a possibility that you are addicted to alcohol or drugs. This means that you use alcohol or drugs to try to solve problems and to make yourself feel better. While using alcohol or drugs will not really make things better, it will feel like it does. If you have any checks in this section, you have a possibility of becoming addicted if you keep using. The closer your score is to 12, the higher your chance of addiction.

Middle Stage Addiction

Count up the number of yes answers you checked in questions 13–24 and write the number below.

Number of checks for questions 13–24 ____

Any number of checks in this section means that you are addicted and have started to have bad things happen to you because of your addiction. During this stage, you may try to do things to control your addiction. Some of these may work for a while, but not for long. For questions 13–24, the closer your score is to 12, the more addicted you are, and the worse things will get if you do not get help.

Late Stage Addiction

Count up the number of yes answers you checked in questions 25–37 and write the number below.

Number of checks for questions 25–37 ____

Any number of checks in this section means that you are in the late stage of addiction. During this stage, you may have given up and thought that you could not do anything to change. Serious life problems, such as being sick, or going to jail or a mental ward, have happened or will happen to you if you do not try to get help. For questions 25–37, the closer your score is to 13, the more addicted you are. Your chances of dying are high if you continue to use.

Reactions: Complete the sentences below and think about what they mean for your recovery.

How do you feel about the results of the test you just took?
What do you think about the results of the test you just took?
What do you want to do about the results of the test you just took?

It is normal to feel angry or upset about the results of this test. Some people think, "This doesn't mean anything," and try to ignore the results. This is called denial. Alcoholics and addicts usually deny that they are dependent on alcohol or drugs because they can't think about how to live without drinking or using. You can give up here and repeat the past, or you can decide to change.

Complete the following sentences.

If I do not stop using, I will probably

If I do stop using, I might be able to